Show:
Isolation Precautions
Antibiotic Stewardship
Device-infections
Hand Hygiene
Environmental Cleaning & Disinfection
100
State the required precautions for a patient presenting with fever & a morbilliform rash.
What is negative pressure isolation?
100
Treatment of asymptomatic bacteriuria is appropriate for two patient populations.
Who are pregnant women and patients undergoing genitourinary surgery associated with mucosal bleeding?
100
Indicate the evidence-based modality or elements used at CHA during central-venous catheter insertion to prevent central line-associated bloodstream infection.
What is a central venous catheter insertion checklist (includes hand hygiene, aseptic insertion, maximal barrier precautions, chlorhexidine skin prep, avoid femoral vein insertion) and remove unnecessary lines by assessing daily during rounds.
100
The preferred process for hand hygiene when hands are not visibly soiled.
What is alcohol-based hand rub?
100
The Super Sani-Cloth germicidal wipes (purple top container) dwell or wet-time as specified by the manufacturer.
What is 2 minutes?
200
Indicate two diseases which necessitate negative pressure isolation & contact precautions.
What is varicella, disseminated zoster, MERS and viral hemorrhagic fevers?
200
Antibiotic time-outs should be conducted at a specified time interval (in hours).
What is 48-72 hr?
200
A daily process to prevent device-related infections.
What is a daily assessment for ongoing need?
200
Indicate how to perform hand hygiene when exiting a room of a patient with C. difficile infection.
What is hand washing with soap and water?
200
The Clorox (blue top container) bleach germicidal wipes dwell or wet-time as specified by the manufacturer.
What is five minutes?
300
A viral infection that causes aplastic crisis and a chronic infection in immunocompromised patients requires what type of precautions?
What is droplet precautions?
300
Name a rapid diagnostic test which has assisted the CHA stewardship program to confirm bacterial pneumonia.
What is procalcitonin?
300
A CHA nurse-driven policy empowering nurses to discontinue a device not meeting appropriate use criteria.
What is the indwelling bladder catheter criteria for utilization, care, and removal? http://staffnet/Reference/Policies/InfectionControl/C-INC-0026.pdf
300
Minimum duration of hand washing in seconds in order to be considered adequate.
What is at least 15 seconds?
300
Indicate when terminal room cleaning is performed.
What is cleaning after patient discharge?
400
Precautions for Bordetella infections.
What is droplet precautions?
400
The Medical Executive Committee recently approved an automatic ID consult for bacteremia due to a specific organism (complies with CDC & Joint Commission to have interventions in place to ensure optimal use of antibiotics).
What is S. aureus?
400
Name at least two process measure to prevent ventilator-associated pneumonia.
What is head of bed (> 30 degrees) elevation, regular oral care with chlorhexidine, sedation vacation, daily assessment for ability to extubate.
400
State the World Health Organization’s Five Moments of hand hygiene.
What is: -before patient contact -before aseptic procedures -after patient contact -after contact with blood, body fluids or secretions/excretions -after contact with the patient care environment
400
At CHA, a technological enhancement is used ensure the killing of spores and resistant organisms after terminal room cleaning.
What is pulsed xenon ultraviolet disinfection or UV-C?
500
MERS precautions
What is negative pressure isolation and contact precautions, including face shield to protect mucus membranes?
500
The Microbiology lab pages you about your patient who has Gram-negative rods in one of two aerobic blood culture bottles which is non-lactose fermenting and oxidase-positive. Name an appropriate antibiotic agent.
What is cefepime, piperacillin-tazobactam, imipenem, meropenem and ceftazidime?
500
Salvage of long-term catheters that cannot be removed (e.g., dialysis) when there are NO systemic complications (i.e., sepsis, endocarditis, tunnel infection) can be accomplished with this ancillary therapy in addition to systemic antibiotic therapy.
What is antibiotic-lock therapy?
500
A focused improvement plan has been implemented for providers failing at least ____ episodes of hand hygiene in a calendar year.
What is 3?
500
Indicate the expectation for stethoscope cleaning.
What is cleaning after every use?